Individual provider Active NPI

Jamesetta Williams Kidd

  • Podiatric Assistant
  • Spring, TX
National Provider Identifier
1780992289
Registry record updated Sep 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Podiatric AssistantTaxonomy code 211D00000X
Practice address
324 Gentry St
Spring, TX 77373-8316
Phone
(832) 797-6589
Fax
(281) 583-8527
NPI assigned
Sep 17, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatric Assistant 211D00000X Primary

Addresses

Primary practice location

324 Gentry St
Spring, TX 77373-8316

Mailing address

1514 Bodart Dr
Houston, TX 77090-2406
Phone (832) 797-6589

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1284681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284681600000",
    "number": "1780992289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1514 BODART DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770902406",
            "telephone_number": "832-797-6589",
            "fax_number": "281-583-8537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 GENTRY ST",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773738316",
            "telephone_number": "832-797-6589",
            "fax_number": "281-583-8527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS KIDD",
        "first_name": "JAMESETTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-17",
        "last_updated": "2010-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "211D00000X",
            "taxonomy_group": "",
            "desc": "Assistant, Podiatric",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.